nursing home in Grand Saline, TX
Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek Rd, Grand Saline, TX 75140 · (903) 962-4226
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Azalea Trail Nursing and Rehabilitation Center at a glance
Azalea Trail Nursing and Rehabilitation Center is a 72-bed for-profit nursing home in Grand Saline, Texas (Van Zandt County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (July 29, 2026) found 2 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 26.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 72
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 19, 1994
- Resident/family council
- Resident
- County
- Van Zandt County
- CMS Certification Number
- 675253
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.35 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.24 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 26.8% | 55.3% | 45.8% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 6 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 72 | 113 | 107 | |
| Average residents per day | 62 | 76 | 86 | |
| Occupancy | 86.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 7.3% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.9% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 32.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 37% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.9% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.1% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.6% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 75% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 2 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 29, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 6, 2026 |
| July 29, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected August 7, 2026 |
| July 29, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| July 29, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 3, 2026 |
| November 19, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 19, 2025 |
| May 14, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| April 3, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected May 31, 2024 |
| April 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 31, 2024 |
| April 3, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WARD, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 01/01/2007 |
| WARD, PATRICIA Individual | adp of the snf | NOT APPLICABLE | 01/01/2007 |
| WARD, MICHAEL Individual | direct ownership interest | NOT APPLICABLE | 01/01/2007 |
| WARD, PATRICIA Individual | direct ownership interest | NOT APPLICABLE | 01/01/2007 |
| WARD, PATRICIA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2007 |
Other nursing homes near Azalea Trail Nursing and Rehabilitation Center
Avir at Bradburn
520 Bradburn Rd., Grand Saline, TX 75140 · under 1 mi
For-profit · 76 beds · Part of Avir Health Group
★★★★★1Much below averageAvir at Grand Saline
1638 Vz Cr 1803, Grand Saline, TX 75140 · under 1 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★2Below average- ★★★★★4Above average
Avir at Mineola
320 Greenville Ave., Mineola, TX 75773 · 12.7 mi
For-profit · 115 beds · Part of Avir Health Group
- Abuse citation
★★★★★1Much below averageMineola Gardens Wellness & Rehabilitation
716 Mimosa Dr, Mineola, TX 75773 · 13.2 mi
For-profit · 82 beds · Part of Opco Skilled Management
- Abuse citation
★★★★★1Much below averageCanton Oaks
1901 S Trade Days Blvd, Canton, TX 75103 · 13.3 mi
For-profit · 120 beds · Part of Fundamental Healthcare
★★★★★4Above average
All nursing homes in Grand Saline, TX · Compare side by side
Frequently asked questions
What is Azalea Trail Nursing and Rehabilitation Center's rating?
Azalea Trail Nursing and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Azalea Trail Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 2 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Azalea Trail Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Azalea Trail Nursing and Rehabilitation Center?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Azalea Trail Nursing and Rehabilitation Center and how do I contact it?
Azalea Trail Nursing and Rehabilitation Center is at 411 Spring Creek Rd, Grand Saline, TX 75140. Phone: (903) 962-4226.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.